General Assessment

Question 1

level of consciousness

Answer 1

the state of arousability, behavior, and response to stimuli

Question 2

three categories of nutritional status

Answer 2

well nourished, undernourished and overnourished

Question 3

distress

Answer 3

state of mental or physical suffering

Question 4

position of comfort

Answer 4

body position employed by the pt in an attempt to lessen discomfort

Question 5

develpement

Answer 5

comparison of musculoskeletal symmetry and proportion in relation to expected averages for the pts age, sex and race

Question 6

conversion of inches to centimeters

Answer 6

2.54/inch

Question 7

how many pounds is a kg

Answer 7

2.2

Question 8

BMI

Answer 8

an approximation of the amount of body fat, used to categorize pts along a range from severely underweight to obese

Question 9

BMI formula

Answer 9

weight (kg)/h (m2)

Question 10

converting celcius to farenheight

Answer 10

CX9/5+32

Question 11

converting farhenheight to celciums

Answer 11

(F-32) X 5/9

Question 12

pyrexia

Answer 12

elevated body temperature also referred to as fever, most often associated with inflammation and infection resulting in an elevation of body’s temperature set point

Question 13

hyperthermia

Answer 13

elevation of body temperature that is NOT caused by fever but by the inability of the body to dissipate heat, commonly related to drugs, and heatstroke

Question 14

pulse in smaller children is assessed where

Answer 14

brachail artery

Question 15

where is the pulse assessed in infants

Answer 15

femoral

Question 16

bradycarida

Answer 16

slow pulse rate, less than 60 minutes per minute

Question 17

tachycardia

Answer 17

pulse rate greater than 100 beats per minute

Question 18

regularly irregular rhythm

Answer 18

irregular beats occur with predicted regularity (bigeminy and trigeminy)

Question 19

irregularly irregular

Answer 19

no pattern of beats is present

Question 20

respiration

Answer 20

a breath consisting of 2 phases: inspiration and expiration

Question 21

respiratory rate

Answer 21

number of respiration per minute

Question 22

eupnea

Answer 22

normal respiratory rate adults at rest 12-20 bom

Question 23

bradypnea

Answer 23

slow breathing- less than 12 bpm

Question 24

tachypnea

Answer 24

rapid breathing, greater than 20 bpm counts for a full 60 seconds

Question 25

apneustic

Answer 25

inspiratory phase longer than expiratory phase, indicates brainstem damage

Question 26

obstructive pattern

Answer 26

expiration phase longer than inspiratory phase

Question 27

restrictive pattern

Answer 27

shallow inspirations that becme rapid with exertion

Question 28

hyperpnea

Answer 28

rapid, deep inspirations

Question 29

kussmaul

Answer 29

deep gasping respiration such as found in diabetic acidosis

Question 30

sighing

Answer 30

deep inspirations with breathing pattern

Question 31

cheyne stokes

Answer 31

increased then decreasing amplitude of respiration with periods of apnea

Question 32

ataxic

Answer 32

irregular, unpredictable pattern with periods of apnea

Question 33

blood pressure

Answer 33

pressure against the arterial vascular system consisting of two components: systolic the measure of pressure at the peak of the left ventricular contraction and diastolic the measure of pressure during left ventricular relaxation

Question 34

ausculatory gap

Answer 34

period of silence during auscultation of the blood pressure where the first beat is heard representing systeole, a period of silence occurs followed by a return of audible pulse and a second disappearance representing diasole

Question 35

muffling poont

Answer 35

observation during auscultation of blood pressure where the strength of the pulse is heard to significantlyn muffle but continues and disappears at a lower measurement, this is debated as prepresenting true diatstolic pressure

Question 36

orthostatic hypertension

Answer 36

a drop of blood pressure of 20 mmHg or the rise of pulse by 20 beats per minute as the patient changes from supine to standing positon

Question 37

pain

Answer 37

the perception of physical discomfort for the intensity of which can be represented by scale, this is now considered a vital sign

Question 38

pain scale

Answer 38

a numerical or graphical display utilized by providers to help patients decrease subjectivity in assigning intensity to the amount of pain being experiencesd

Question 39

somatic pain

Answer 39

often described as sharp or stabbing, usually well localized, demonstration of protective guarding or hesitancy in movement of the area, movement may appear stiff, slow, and purposelful in a attept to avoid triggering the pain. facial grimacing

Question 40

signs of respiratory arrest

Answer 40

increased respiratory rate, open mouth breathing, exaggerated chest wall motion, accessory muscles, intercostal retractions, cyanosis

Question 41

what comprises vital signs

Answer 41

temperature, pulse, respirations, blood pressure and pain

Question 42

what do you assess for in pulse

Answer 42

rate, rhythm, and character